Accepting New Patients • Duxbury • Boston Back Bay (April 2026) • Telehealth

Get Started with Modern Mentality

Complete the intake request below and our team will be in touch within two business days to coordinate your initial appointment.

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Call Us (781) 803-7757

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Email Danielle@Modern-Mentality.com

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Duxbury 95 Tremont St, Suite #2

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Boston Back Bay 264 Beacon St (April 2026)

Intake Request

The first step to becoming a patient at Modern Mentality. All information is kept confidential and is used solely to coordinate your initial appointment.

1 What brings you in?

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Personalized Psychiatric Care Personalized treatment from experienced psychiatric providers Insurance Accepted

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ADHD Comprehensive Testing Creyos neurocognitive assessment package $549 Self-Pay

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Individual Therapy Evidence-based psychotherapy for adults Insurance Accepted

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Couples Therapy Strengthen communication and resolve conflict $249 Self-Pay Only

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NeuroStar TMS Therapy FDA-cleared treatment for depression, anxiety, and OCD FDA-Cleared

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Other / Not Sure We'll help figure out the best fit for you Let's Talk

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Clinician Referral For providers or staff referring a patient to our practice Provider Use

🎯 Comprehensive ADHD Testing Package

Our gold-standard testing package includes Creyos neurocognitive testing, clinical interview, interpretation, and a detailed diagnostic report.

Results are typically available within 1 week. HSA/FSA accepted.

$549 All-Inclusive

💑 About Couples Therapy

Evidence-based couples therapy focused on communication, conflict resolution, and strengthening your relationship. Sessions are $249 (self-pay only; insurance is not accepted for couples therapy). HSA/FSA accepted. Available in-person at our Duxbury location and via telehealth. Please include both partners' names in the form below.

🧲 About NeuroStar TMS Therapy

FDA-cleared, non-invasive treatment for depression, anxiety, and OCD. Most insurance plans cover TMS after prior medication trials. Treatment involves daily sessions over 6-9 weeks.

Learn more about TMS

🏥 Clinician Referral

Use this form to refer a patient to Modern Mentality. You can also have your admin team submit on your behalf. We will reach out to the patient directly and keep you informed.

Referring Provider Name *

Practice / Organization

Provider Phone *

Provider Email

Reason for Referral *

Referral Urgency

Services Requested

Please still fill out the patient's contact information in Sections 2-4 below so we can reach them directly.

Quick TMS Candidacy Screening

Optional: Answer a few questions to help us assess your candidacy before your consultation.

How many antidepressant medications have you tried that did not adequately improve your symptoms?

List any medications you've tried, if you remember them:

Do any of the following apply to you? (Check all that apply) Metal implants in or near my head (plates, screws, clips, cochlear implants) Cardiac pacemaker or defibrillator Deep brain stimulator or vagus nerve stimulator Implanted medication pump

Do any of these apply? History of seizures or epilepsy I am currently pregnant

None of the above apply to me

2 About You

I am *

First Name *

Last Name *

Sex and Gender

Date of Birth *

Phone *

Email *

3 Payment Method

Insurance Self-Pay

Insurance Carrier *

Member / Group ID *

Self-pay rates vary by service. Couples therapy is $249/session. ADHD comprehensive testing is $549 (all-inclusive package). HSA/FSA accepted for all services.

4 Clinical Information

Why are you seeking care? *

Are you having thoughts of hurting yourself? *

Have you ever been hospitalized for psychiatric reasons? *

Current medications and medical concerns *

Current or past psychiatric diagnoses *

Preferred Location *

Availability *

Anything else you'd like us to know?

5 How Did You Find Us?

Referral Source *

2 Patient Contact Information

Provide basic patient info so we can reach out to them directly.

Patient First Name *

Patient Last Name *

Patient Phone *

Patient Email

Patient Insurance (if known)

Preferred Location

Additional Notes

If you are in immediate danger or experiencing a mental health emergency, please call 911 or go to your nearest emergency room. You can also contact the 988 Suicide & Crisis Lifeline by calling or texting 988. You can also contact the Massachusetts Behavioral Health Helpline at 833-773-2445 or the New Hampshire Rapid Response Access Point at 833-710-6477, depending on the state you are in. Please note that this form is not monitored in real-time.

Our Locations

Established

Duxbury, MA

95 Tremont Street, Suite #2

Duxbury, MA 02332

(781) 803-7757

Opening April 2026

Boston Back Bay

264 Beacon Street

Boston, MA 02116

(781) 803-7757

Our Services

🧠 Personalized Psychiatric Care
💊 Medication Management
🗣 Individual Therapy
💑 Couples Therapy
🎯 ADHD Testing (Creyos)
🧬 GeneSight Genetic Testing
🧲 NeuroStar TMS Therapy

Insurance Accepted

BCBS Cigna UHC Aetna Harvard Pilgrim Tufts Point32

Self-pay and HSA/FSA also accepted.

What Happens Next?

After submitting your intake request, our team will review your information and reach out within two business days to schedule your initial appointment.

We will verify your insurance benefits before your first visit.